陈新荣

[摘要] 目的 探讨环乳晕切口治疗乳腺纤维瘤的临床效果，并与传统放射状切口术进行对比。方法 随机选取该院于2014年1月—2017年12月收治的100例乳腺纤维瘤患者为研究对象，采用随机数字表法分为研究组和对照组，各50例，对照组行传统放射状切口术，研究组行环乳晕切口术，比较两组患者的治疗总有效率、术中出血量、手术时长以及患者满意率。结果 研究组治疗总有效率（90.00%）和患者满意率（84.00%）显著高于对照组（70.00%、42.00%），差异有统计学意义（χ2=6.25、18.92、P=0.012、0.000）;研究组术中出血量（25.69±5.35）mL和手术时长（38.75±5.25）min显著少于对照组[（37.76±6.62）mL、（50.52±6.20）min]，差异有统计学意义（t=4.95、6.27、P=0.029、0.021）。结论 环乳晕切口治疗乳腺纤维瘤的临床效果相比传统放射状切口更佳，患者满意度更高，值得在临床推广应用。

[关键词] 环乳晕切口;放射状切口;乳腺纤维瘤;临床效果

[中图分类号] R737.9          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0028-03

Comparative Study of Clinical Effects of Treatment of Breast Fibroma with Circular Areola Incision and Conventional Radial Incision

CHEN Xin-rong

Nanping Maternal and Child Health Hospital， Nanping， Fujian Province， 353000 China

[Abstract] Objective To investigate the clinical effect of circular areola incision in the treatment of breast fibroma and compare it with traditional radial incision. Methods 100 patients with breast fibroma who were randomly treated in the hospital from January 2014 to December 2017 were selected as study subjects. Randomized digital table was used to divide the study group， 50 cases in the control group and were treated with traditional radial incision. The study group underwent circumferential areola incision and compared the total effective rate of treatment， intraoperative blood loss， length of operation， and patient satisfaction rate between the two groups. Results The total effective rate（90.00%） and patient satisfaction rate （84.00%） in the study group were significantly higher than those in the control group（70.00%， 42.00%），the difference was statistically significant（χ2=6.25， 18.92，P=0.012， 0.000）; The intraoperative blood loss （25.69±5.35） mL and operation duration （38.75±5.25） min in the study group were significantly lower than those in the control group[（37.76±6.62）mL， （50.52±6.20）min]， the difference was statistically significant（t=4.95， 6.27; P=0.029，0.021）. Conclusion The clinical effect of circular areola incision for breast fibroids is better than that of traditional radial incision， and the patient satisfaction is higher. It is worthy of clinical application.

[Key words] Ring areola incision; Radial incision; Breast fibroid; Clinical effect

乳腺纖维瘤是一种临床常见的良性肿瘤，发病者青年女性居多，乳腺小叶腺上皮和纤维组织是乳腺纤维瘤的主要发生位置[1]。该病发病机制是由于机体内分泌失调导致分泌的雌性激素过多，在长期高水平的雌激素作用下，乳腺纤维发生异常增生形成肿瘤。瘤体大小一般为 2～3 cm，少数瘤体恶化后可增大至 8～10 cm[2]。由于乳腺纤维瘤发生部位为乳房，患者一般希望在完整切除肿瘤的同时兼顾术后恢复和美观。目前临床上治疗乳腺纤维瘤的主要方法为手术治疗，但采用传统放射状切口治疗会留下瘢痕，且容易导致两侧乳房大小形状不对称，患者接受程度较低[3]。……